Provider Demographics
NPI:1114375102
Name:LOMEO, SUSAN (RD, LDN)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:LOMEO
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 DEERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4408
Mailing Address - Country:US
Mailing Address - Phone:412-721-7786
Mailing Address - Fax:
Practice Address - Street 1:1316 DEERFIELD DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4408
Practice Address - Country:US
Practice Address - Phone:412-721-7786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN002932133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered